UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000013328
Receipt number R000015555
Scientific Title Effects on glucose metabolism of low-intensity exercise in elderly heart failure patients who have insulin resistance or type 2 diabetes mellitus
Date of disclosure of the study information 2014/03/05
Last modified on 2019/03/09 16:48:40

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Basic information

Public title

Effects on glucose metabolism of low-intensity exercise in elderly heart failure patients who have insulin resistance or type 2 diabetes mellitus

Acronym

Effects on glucose metabolism of low-intensity exercise in elderly patients with heart failure

Scientific Title

Effects on glucose metabolism of low-intensity exercise in elderly heart failure patients who have insulin resistance or type 2 diabetes mellitus

Scientific Title:Acronym

Effects on glucose metabolism of low-intensity exercise in elderly patients with heart failure

Region

Japan


Condition

Condition

Heart failure patients with abnormal glucose metabolism

Classification by specialty

Cardiology Nursing

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

For elderly heart failure patients with abnormal glucose metabolism, to verify low-intensity exercise is whether to improve glucose metabolism abnormalities, such as postprandial hyperglycemia.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

Twenty four hour average blood sugar,prevalence of hyperglycemia over the course of 24h,Incremental area under the curve (IAUC)of 3 hours each postprandial Day, time activity level;amount of physical activity, number of steps, calories, mets

Key secondary outcomes

Full execution rate,Drop-out rate,
Dietary intake,Blood pressure,Pulse


Base

Study type

Interventional


Study design

Basic design

Cross-over

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

No treatment

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Behavior,custom

Interventions/Control_1

All subjects is carried out in a randomized cross-over study to test two of the non-exercise and low intensity exercise.Glycemic control was assessed during the subsequent 24h postexercise and no exercise period by continuous glucose monitoring.All subjects attached a total of 88 hours CGM(Medtronic ipro2).The study carried out in five days, including the washout period.Subjects of A group and was attached with a CGMS on the first day of the 16:00, Implementation for 35 minutes chair exercise is a low-intensity exercise in 9:30 of the second day;1.5to2.5Mets.Washout period of 46 hours after exercise, and rest 35 minutes from 9:30 as a non-exercise day to day 4.CGM removal at 10 the next day 5.The intake respectively 8:00, 12:00, 18:00 in the hospital diet during the study period.At least four daily SMBG measurements are obtained with a gluco-meter(One touch ultra vue,Johnson&Johnson) and enter into the CGMS for calibration.Evaluation of outcomes analyze the data in the Medtronic CareLink iPro software.All subjects are not permitted snacking,and exercise except for intervention during the study period.

Interventions/Control_2

All subjects is carried out in a randomized cross-over study to test two of the non-exercise and low intensity exercise.Glycemic control was assessed during the subsequent 24h postexercise and no exercise period by continuous glucose monitoring.All subjects attached a total of 88 hours CGM(Medtronic ipro2).The study carried out in five days, including the washout period.Subjects of B group and was attached with a CGMS on the first day of the 16:00,Implementation for rest 35 minutes from 9:30 as a non-exercise of the second day.Implementation for 35 minutes chair exercise is a low-intensity exercise in 9:30 of the day3;1.5to2.5Mets.
Washout period of 46 hours after exercise, and CGM removal at 8 the day5.The intake respectively 8:00, 12:00, 18:00 in the hospital diet during the study period.At least four daily SMBG measurements are obtained with a gluco-meter(One touch ultra vue,Johnson&Johnson) and enter into the CGMS for calibration.Evaluation of outcomes analyze the data in the Medtronic CareLink iPro software.All subjects are not permitted snacking,and exercise except for intervention during the study period.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

65 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

a.Those who start cardiac rehabilitation in patients with heart failure in the hospital, or have started a rehabilitation already, who has passed for more than fourty eight hours from the previous exercise
b.Age of consent at the time of obtaining 65 years of age or older
c.Patients with HOMA-R> 2.5 or more or type2 diabetes patient (diabetes treatment guiding criterion)
d.There is no change of oral during the period
e.Patient consent was obtained in writing from the person for this study participants
f.Patient with 6MWT<350m

Key exclusion criteria

a. Patients who are considered by the unstable mental state and decrease in comprehension, participation in this study is difficult
b. Unstable patients with hemodynamic NYHA4, degrees arrhythmia control is unstable
c. Severe disease; severe heart failure EF20% less than, severe Aortic stenosis, cirrhosis
d. Patients who can not exercise and walk due to a failure functional by cerebrovascular disease and orthopedic problems
e. Patients with inflammatory active disease
f. Dialysis patient
g.Patients with insulin therapy
h. Patients of 300mg/dl or more fasting blood glucose or urine ketone positive
i. After hepatic resection and post-gastrectomy
j.The patients were determined to be unsuitable for the study by the physician

Target sample size

10


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Kazuko Nin

Organization

Kyoto University Graduate School of Medicine,Human Health Sciences

Division name

Clinical Nursing Laboratory

Zip code


Address

53 kawahara-cho,shogoin,sakyo-ku, kyoto

TEL

075-751-3946

Email

nin@kuhp.kyoto-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Soong Rae Cho

Organization

Kyoto University Graduate School of Medicine,Human Health Sciences

Division name

Clinical Nursing Laboratory

Zip code


Address

53 kawahara-cho,shogoin,sakyo-ku, kyoto

TEL

075-751-3946

Homepage URL


Email

cho.soongrae.77u@st.kyoto-u.ac.jp


Sponsor or person

Institute

Kyoto University Graduate School of Medicine,Human Health Sciences

Institute

Department

Personal name



Funding Source

Organization

Osaka Gas Group Welfare Foundation

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

京都大学医学部附属病院(京都府)
和泉市立病院(大阪府)


Other administrative information

Date of disclosure of the study information

2014 Year 03 Month 05 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Main results already published

Date of protocol fixation

2014 Year 01 Month 17 Day

Date of IRB


Anticipated trial start date

2014 Year 03 Month 05 Day

Last follow-up date

2014 Year 12 Month 16 Day

Date of closure to data entry

2015 Year 01 Month 15 Day

Date trial data considered complete

2015 Year 02 Month 03 Day

Date analysis concluded

2015 Year 02 Month 03 Day


Other

Other related information



Management information

Registered date

2014 Year 03 Month 04 Day

Last modified on

2019 Year 03 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000015555


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name